Individual
EMILY C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6110 SHALLOWFORD RD, C/O CRC & ASSOC., CHATTANOOGA, TN 37421-1894
(800) 632-6074
Mailing address
7431 114TH AVE, 104, LARGO, FL 33773-5119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003447
TN
Other
Enumeration date
08/12/2008
Last updated
09/29/2008
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